<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Contact Us</title>

<link rel="stylesheet" type="text/css" href="css/bookdemo.css"/>
<link rel="stylesheet" type="text/css" href="css/jquery.autocomplete.css"/>

<script type="text/javascript" src="js/jquery-1.4.4.min.js"></script> 
<script type="text/javascript" src="js/jquery.validate.js"></script>
<script type="text/javascript" src="js/jquery.autocomplete.js"></script> 
<script type="text/javascript" src="js/localdata.js"></script>



<style type="text/css">
input.error {border:#F00 solid 1px;}
label.error { float:left; color: red; padding-top:2px; padding-left: .5em; vertical-align: top; }
</style>

<!--[if IE 8 ]>
<link rel="stylesheet" type="text/css" href="css/style_ie.css"/>
<![endif]-->
<!--[if IE 7 ]>
<link rel="stylesheet" type="text/css" href="css/style_ie7.css"/>
<![endif]-->



<script type="text/javascript">
  $(document).ready(function(){$("#newsForm").validate( );});
  
  $(document).ready(function(){
    $("#bookDemo").validate( );
  });
  
  $(document).ready(function(){
   	$("#state").autocomplete(state);
  });
</script>


</head>

<body>

  
   
   
   <div class="book_content">
    <p class="pagetop_text_headline">Please  fill in your contact information</p>
    <form name="bookDemo" id="bookDemo" class="cmxform" action="thankyou.php" method="POST">
       
    <div class="book_left">
    <input class="book_input required" name="name" type="text" value="Name" />
    <input class="book_input required" name="title" type="text" value="Job Title" />
    <input class="book_input required email" name="email" type="text" value="Email" />
    <input class="book_input required" name="com_org" type="text" value="Company/Organization" />
    <input class="book_input required" name="phone" type="text" value="Phone"  />
    <input class="book_input required" name="state" type="text" id="state" value="State" />
    

    <input name="news" type="checkbox" value="news" />
    I  would like to recieve the Myaudiometers newsletter<br />
 
    
    </div>
    
    <div class="book_right">
 
    <input class="book_input required number" name="zip" type="text" value="Zip Code" />
    <textarea class="book_txearea required" type="text" name="comment">Questions/Comments</textarea>
  
     <script type="text/javascript">
		$("input, textarea").focus(
		 function()
		 {
		   if(this.value == this.defaultValue)
		  {
		   this.value="";
		  }
		 }
		)
		
		$("input, textarea").blur(
		 function()
		 {
		   if(this.value == "")
		  {
		   this.value = this.defaultValue;
		  }
		 }
								  )
		
		$("input, textarea").mouseup(function(e){
        e.preventDefault();
		});
	</script>
    <input class="book_submit" name="bookademo" type="submit" value="submit" />
    </div>
  
    </form>
    
    
    
    </div>
    
    
  
    
    <div class="book_footnote">
      
    
    Myaudiometer respects your privacy. We do not distribute email addresses to third parties, and will use your address exclusively for the purpose of responding to your inquiry. We will only send you our email newsletter, if you have indicated that you would like to receive this. If you wish to discontinue receiving material, you can unsubscribe from the service at any time.
    
    </div>
    
     
 
 
</body>
</html>
    